North Leverton Surgery in North Leverton, Retford is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, maternity and midwifery services, services for everyone and treatment of disease, disorder or injury. The last inspection date here was 20th December 2017
North Leverton Surgery is managed by Dr Gemma Maria Brownson & Dr James Richard Reader.
Contact Details:
Address:
North Leverton Surgery Sturton Road North Leverton Retford DN22 0AB United Kingdom
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at North Leverton Surgery on 23 May 2017. The overall rating for the practice was Good but with Requires Improvement for safety. The full comprehensive report on the May 2017 inspection can be found by selecting the ‘all reports’ link for North Leverton Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 14 November 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 23 May 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as Good.
Our key findings were as follows:
The provider had made the following improvements to address legal requirements :
Procedures were in place to ensure medicines provided in compliance aids were packaged safely to reduce the risk of patient harm.
Medicine fridge temperature monitoring had been improved in relation to provision and resetting of thermometers to maintain the effectiveness and safety of the medicines.
Security arrangements for keys to the dispensary and controlled drug storage area had been improved.
Procedures had been implemented in accordance with regulations for controlled drugs which require destruction.
Records for controlled drug stock had been improved and accurate records were maintained.
The provider had also made improvements in the following areas:
The fire risk assessment action plan had been reviewed and action had been completed to improve fire safety.
The legionella risk assessment action plan had been reviewed and measures were being taken to minimise risk.
Procedures were in place to try to improve uptake for childhood vaccinations. The practice had developed protocols to support practice when patients did not attend for routine vaccination. This included sending three letters to invite them to attend for vaccination and putting alerts on the electronic patient records. Where patients did not attend for vaccination after three letters the clinicians were informed and, where clinicians felt this was necessary, the patients were referred to the health visitor. Following discussion at the inspection staff said they would also add this area as a standing agenda item to their practice meetings to ensure ongoing monitoring of patients who did not attend.
Systems had been improved to assist the practice to identify carers. They had developed a carers leaflet and patient questionnaire which was included in new patient packs; they had developed a template for clinicians to assist them to identify and record carers and developed a carer’s protocol to support practice. One of the practice administrators monitored the numbers of carers on the register monthly. We observed the number of carers identified had increased from 18 (0.6% of the patient list) at the last inspection to 42 (1.5% of the patient list). We observed a variety of information to support carers was displayed in the practice and these patients were invited for flu vaccines. Organisations which could offer advice for carers, such the local Social Prescribing Team, were invited to the flu clinics.
Letter from the Chief Inspector of General Practice
We carried out an announced comprehensive inspection at North Leverton Surgery on 23 May 2017. The overall rating for the practice was Good but with Requires Improvement for safety. The full comprehensive report on the May 2017 inspection can be found by selecting the ‘all reports’ link for North Leverton Surgery on our website at www.cqc.org.uk.
This inspection was an announced focused inspection carried out on 14 November 2017 to confirm that the practice had carried out their plan to meet the legal requirements in relation to the breaches in regulations that we identified in our previous inspection on 23 May 2017. This report covers our findings in relation to those requirements and also additional improvements made since our last inspection.
Overall the practice is rated as Good.
Our key findings were as follows:
The provider had made the following improvements to address legal requirements :
Procedures were in place to ensure medicines provided in compliance aids were packaged safely to reduce the risk of patient harm.
Medicine fridge temperature monitoring had been improved in relation to provision and resetting of thermometers to maintain the effectiveness and safety of the medicines.
Security arrangements for keys to the dispensary and controlled drug storage area had been improved.
Procedures had been implemented in accordance with regulations for controlled drugs which require destruction.
Records for controlled drug stock had been improved and accurate records were maintained.
The provider had also made improvements in the following areas:
The fire risk assessment action plan had been reviewed and action had been completed to improve fire safety.
The legionella risk assessment action plan had been reviewed and measures were being taken to minimise risk.
Procedures were in place to try to improve uptake for childhood vaccinations. The practice had developed protocols to support practice when patients did not attend for routine vaccination. This included sending three letters to invite them to attend for vaccination and putting alerts on the electronic patient records. Where patients did not attend for vaccination after three letters the clinicians were informed and, where clinicians felt this was necessary, the patients were referred to the health visitor. Following discussion at the inspection staff said they would also add this area as a standing agenda item to their practice meetings to ensure ongoing monitoring of patients who did not attend.
Systems had been improved to assist the practice to identify carers. They had developed a carers leaflet and patient questionnaire which was included in new patient packs; they had developed a template for clinicians to assist them to identify and record carers and developed a carer’s protocol to support practice. One of the practice administrators monitored the numbers of carers on the register monthly. We observed the number of carers identified had increased from 18 (0.6% of the patient list) at the last inspection to 42 (1.5% of the patient list). We observed a variety of information to support carers was displayed in the practice and these patients were invited for flu vaccines. Organisations which could offer advice for carers, such the local Social Prescribing Team, were invited to the flu clinics.
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